What are the responsibilities and job description for the Medical Claims Processor position at ReqCareer Solutions?
Job Title: Claims Coordinator (Medical Biller)
Location: Remote (Raleigh/Durham, NC area only) – Potential to move on-site
Work Hours: 9:00 AM – 5:00 PM (Monday–Friday)
Assignment Type: Temp-to-Perm
Start Date: Immediate
General Function
The Claims Coordinator (Medical Biller) is responsible for reviewing, submitting, and monitoring medical insurance claims for Team Vision doctor practices. This role ensures accurate claim processing, prompt payment posting, and effective follow-up on unpaid or denied claims. The ideal candidate will be detail-oriented, organized, and skilled in managing multiple priorities within a medical billing environment.
Major Duties & Responsibilities
- Review, prepare, and transmit medical claims to insurance carriers using the practice EHR system and clearing house.
- Monitor and correct rejected claims for resubmission.
- Download and post insurance carrier Explanation of Payments (EOPs), including payments and denials.
- Research denied claims, correct and resubmit within filing limits when applicable.
- Review aging reports and take necessary action to resolve outstanding balances.
- Utilize insurance carrier websites and contact carriers directly to resolve claim denials or status inquiries.
- Collaborate with the clearing house to issue patient billing statements and post payments via the patient portal.
- Process refunds or repayments to patients and carriers when overpayments occur.
- Act as the primary point of contact for all vision and medical claim inquiries for assigned practices.
- Support the Corporate Claims Manager in optimizing claim collections and revenue recovery.
Basic Qualifications
- High school diploma or equivalent.
- Minimum 3 years of experience in medical billing and coding.
- Strong organizational and multitasking abilities.
- Effective verbal and written communication skills.
- Proven ability to prioritize tasks and manage time efficiently.
Preferred Qualifications
- Experience in multi-doctor practice environments.
- Knowledge of multiple insurance carriers and their claim submission requirements.
- Demonstrated problem-solving and analytical abilities.
Job Type: Contract
Pay: $20.00 - $21.00 per hour
Work Location: In person
Salary : $20 - $21